Provider Demographics
NPI:1497063523
Name:MINDES, ERICA (PHD)
Entity Type:Individual
Prefix:DR
First Name:ERICA
Middle Name:
Last Name:MINDES
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:413 STUART CIR
Mailing Address - Street 2:SUITE 200-A ONE MONUMENT AVENUE
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23220-3741
Mailing Address - Country:US
Mailing Address - Phone:804-237-8918
Mailing Address - Fax:
Practice Address - Street 1:413 STUART CIR
Practice Address - Street 2:SUITE 200-A ONE MONUMENT AVENUE
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23220-3741
Practice Address - Country:US
Practice Address - Phone:804-237-8918
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-23
Last Update Date:2010-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810004014103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist